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Minnesota rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.87 / $291.22 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.21 / $282.25 / $650.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.43 / $1,629.21 / $3,529.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.72 / $515.76 / $919.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.31 / $956.74 / $2,301.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.98 / $656.24 / $1,195.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.44 / $874.69 / $1,812.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.91 / $636.01 / $1,123.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $429.95 / $1,322.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $545.80 / $1,548.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $503.21 / $1,048.54